HANSON- MORAN EYE CLINIC PC; NPI #1831375369

Contact Information

HANSON- MORAN EYE CLINIC PC

705 14TH AVE NE
WATERTOWN, SD 57201-6827

Phone: 605-886-7874
Fax: 605-886-7723
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Eyewear Supplier	332H00000X	87	All Other Suppliers
Ophthalmology	207W00000X	18	Physician/Ophthalmology

Indicates primary specialty

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NPI Profile & details for HANSON- MORAN EYE CLINIC PC

NPI Number 1831375369

LBN Legal business name HANSON- MORAN EYE CLINIC PC

Authorized official MICHAEL MORAN - (OWNER OPHTHALMOGIST)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 01/15/2008

Last updated 06/17/2008 - About 18 years ago

Identifiers

SD	License #	4579
SD	Medicaid	9280242

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HANSON- MORAN EYE CLINIC PC

Contact Information

Specialty

Eyewear Supplier

Ophthalmology

NPI Profile & details for HANSON- MORAN EYE CLINIC PC

Reviews for HANSON- MORAN EYE CLINIC PC